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Enhanced Academic Detailing to Increase Immunization Recall Rate

Award Number: U01IP000418
ORGANIZATION: NATIONAL CENTER FOR IMMUNIZATION AND RESPIRATORY DISEASES(NCIRD)
OPDIV: CDC
AWARD CLASS: COOPERATIVE AGREEMENT
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/01/2010
PERIOD OF PERFORMANCE END DATE: 08/31/2014

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Enhanced Academic Detailing to Increase Immunization Recall Rate - PROJECT SUMMARY/ABSTRACT Project Summary: Despite abundant evidence that reminder/recall (RR) systems effectively increase immunization rates, most Arkansas health care providers in both rural and urban areas do not use them. For this reason, the Arkansas Foundation for Medical Care (AFMC) proposes to demonstrate that more Arkansas physician practices will adopt the use of recall procedures to increase childhood immunization rates if they are offered "hands on" training, together with reconfiguration of their office systems and incorporation of a consumer-driven recall methodology. This is in keeping with the commitment of the Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, to achieve the Healthy People 2010 objectives in the areas of immunization and infectious diseases. The research design will test which of two options is more effective at sustaining efforts to recall patients and results in better vaccination rates: (1) a practice-based recall following intensive academic detailing, coupled with office system retooling and development of individualized business plans; or (2) access to an out-sourced Recall Center. The goal is to increase the use of recall systems in practices in various geographic regions of the state that represent populations with diverse socioeconomic characteristics. Effectiveness of the intervention will be measured by: changes in knowledge, attitudes, and practices of participating physicians (determined by pre- and post-surveys); adoption and sustainability of recall procedures; and increased vaccination rates of individual practices. It is novel because the state vaccine registry will serve as the backbone for recall efforts, with an option to be developed by the Arkansas Department of Health (ADH) to allow physicians to create their own directories within the registry, and it will employ consumer-selection of recall methods to facilitate communication with parents whose children are behind on their vaccination schedule. Further, AFMC will develop a Maintenance of Certification Quality Improvement process to incentivize physicians to adopt a recall methodology, and will consider the option of retaining the Recall Center for physicians to outsource this activity at the end of the grant period. AFMC's well-established and productive relationship with physicians in Arkansas, including an ongoing initiative to increase Arkansas well-child screening rates, and partnership with ADH, with whom it previously collaborated on an initiative to introduce Arkansas physicians to use of the vaccine registry, will facilitate all aspects of study conduct and data collection. This grant proposal is a natural extension of existing programs. Relevance: Access to an out-sourced centralized recall service will provide a useful comparison and potential alternative to in-house office practices. The knowledge gained regarding factors necessary for private providers to adopt and sustain client recall interventions, whether or not they offer vaccinations in their office, will ultimately be translatable to other state systems and have a profound positive impact on public health.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2015 ( Subtotal = $0 )
2015	2012	ARKANSAS FOUNDATION FOR MEDICAL CARE	220 N 12TH STREET POB 1512	FORT SMITH	AR	72901	SEBASTIAN	USA	Immunization Research, Demonstration, Public Information and Education Training and Clinical Skills Improvement Projects	000	3	3/26/2015	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2013 ( Subtotal = $0 )
2013	2012	ARKANSAS FOUNDATION FOR MEDICAL CARE	220 N 12TH STREET POB 1512	FORT SMITH	AR	72901	SEBASTIAN	USA	Immunization Research, Demonstration, Public Information and Education Training and Clinical Skills Improvement Projects	001	3	8/1/2013	NON-COMPETING CONTINUATION	$0
2013	2012	ARKANSAS FOUNDATION FOR MEDICAL CARE	220 N 12TH STREET POB 1512	FORT SMITH	AR	72901	SEBASTIAN	USA	Immunization Research, Demonstration, Public Information and Education Training and Clinical Skills Improvement Projects	000	3	11/9/2012	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2012 ( Subtotal = $295,895 )
2012	2012	ARKANSAS FOUNDATION FOR MEDICAL CARE	220 N 12TH STREET POB 1512	FORT SMITH	AR	72901	SEBASTIAN	USA	Immunization Research, Demonstration, Public Information and Education Training and Clinical Skills Improvement Projects	001	3	6/20/2012	NON-COMPETING CONTINUATION	$295,895
2012	2011	ARKANSAS FOUNDATION FOR MEDICAL CARE	220 N 12TH STREET POB 1512	FORT SMITH	AR	72901	SEBASTIAN	USA	Immunization Research, Demonstration, Public Information and Education Training and Clinical Skills Improvement Projects	000	2	11/9/2011	NON-COMPETING CONTINUATION	$0
														Subtotal = $295,895

Issue Date FY: 2011 ( Subtotal = $299,397 )
2011	2011	ARKANSAS FOUNDATION FOR MEDICAL CARE	220 N 12TH STREET POB 1512	FORT SMITH	AR	72901	SEBASTIAN	USA	Immunization Research, Demonstration, Public Information and Education Training and Clinical Skills Improvement Projects	001	2	8/8/2011	NON-COMPETING CONTINUATION	$299,397
2011	2010	ARKANSAS FOUNDATION FOR MEDICAL CARE	220 N 12TH STREET POB 1512	FORT SMITH	AR	72901	SEBASTIAN	USA	Immunization Research, Demonstration, Public Information and Education Training and Clinical Skills Improvement Projects	000	1	5/3/2011	NEW	$0
														Subtotal = $299,397

Issue Date FY: 2010 ( Subtotal = $299,397 )
2010	2010	ARKANSAS FOUNDATION FOR MEDICAL CARE	220 N 12TH STREET POB 1512	FORT SMITH	AR	72901	SEBASTIAN	USA	Immunization Research, Demonstration, Public Information and Education Training and Clinical Skills Improvement Projects	000	1	9/7/2010	NEW	$299,397
														Subtotal = $299,397

Grand Total All Awards = $894,689

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Enhanced Academic Detailing to Increase Immunization Recall Rate

Award Number: U01IP000418

ORGANIZATION: NATIONAL CENTER FOR IMMUNIZATION AND RESPIRATORY DISEASES(NCIRD)

OPDIV: CDC

AWARD CLASS: COOPERATIVE AGREEMENT

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/01/2010

PERIOD OF PERFORMANCE END DATE: 08/31/2014

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